Medical Error Brenetia FFrench-Shareef Liberty University Medical Error Medical error in the field of medicine is a common event. Physicians respond to such mistakes through an apology. Apology is defined as a statement that acknowledges an error together with its outcome. In such a case, healthcare providers take responsibility and express regret for causing injury. Mostly, apology is anticipated to reduce anger, blame, and at the same time enhance therapeutic relationships and increase trust. In addition, apologies are perceived as an effective approach that can prevent a medical malpractice lawsuit. Nevertheless, potential litigation is cited as the most prevalent barrier that restricts apology (Robbennolt, 2009). The intention of …show more content…
The laws make it easier for physicians to offer apologies for medical mistakes. Healthcare providers are protected by these laws where their statements of apology are excluded from malpractice trials. However, physicians who do not work in the surgery unit feel that the apology laws expands their chances of facing a lawsuit. Additionally, the law increases the amount of money that is used to solve a dispute. From this perspective, McMichael, Van Horn, & Viscusi (2016) conducted research to assess the impact of state apology laws on the risk of medical malpractice litigation. The researchers employed distinct dataset obtained from a big national malpractice insurer. The investigation concentrated on lawsuits made against physicians for eight years, that is, from 2004 to 2011. Both claims and malpractice cases formed the foundation of the investigation. The outcome of the study indicates that the apology law is not effective because it does not influence the chances of a physician to face a claim. As a matter of fact, the law is said to increase the likelihood of a physician, who is not rated for surgery, to encounter a lawsuit by 1.2% points. This is interpreted as a 46% increase as compared to the national average. Besides, there is no evidence that apology cuts the average payment paid to a claimant by a physician (McMichael et al., …show more content…
From this view, various methods can be implemented to improve the process of reporting a medical error and reducing the number of lawsuits made by patients. First, healthcare providers should ensure a stable provider-patient relationship that is attained through effective communication. Secondly, healthcare professionals should engage patients in discussions that explain the consequences of a medical therapy before subjecting an individual to the identified treatment procedure (Song et al., 2016). Alternative methods that can be used to resolve the issue of medical malpractice include training programs that make it easy for healthcare providers and family to meet following a medical error. Such programs facilitate communication of heartfelt acknowledgment by the physician. Also, the program promotes honest and open engagement between the victim and healthcare professionals. BICEPS (Brevity, Immediacy, Centrality, Expectancy, Proximity, Simplicity) model is an example of an effective framework that is utilized in healthcare institutions to resolve problems involving medical errors. The model puts more emphasis on resiliency, strength, and support, which encourage nurses, and physicians to address adverse medical occurrences (Monk et al.,
In the healthcare industry, medical malpractice has a history that extends way beyond the days of physicians carrying a black bag full of medication and remedies to treat patients. Health care has since evolved to digital technology that can detect and treat disease. However, before physicians had advanced machinery making medical diagnosis, doctors had their textbooks and medical judgment to rely on for treatment. Physicians are human and medical mistakes can happen, but should not happen due to negligence. With that said, medical malpractice lawsuits are not the latest trend in the United States. According to the US National Library of Medicine National Institutes of Health, medical malpractice lawsuits first appeared in the United States beginning in the 1800s. However, before the 1960s, legal claims for medical malpractice were rare, and had little impact on the practice of medicine. Since the 1960s the frequency of medical malpractice claims has increased; and today, lawsuits filed by aggrieved patients alleging malpractice by a physician are relatively common in the United States.
“When Doctors Make Mistakes” narrates an event where the author Atul Gawande, a doctor, made a mistake that cost a women her life. He relates that it is hard to talk about the mistakes that occurred with the patient's family lest it be brought up in court. In that instance the family and doctor are either wrong or right, there is no middle ground in a “black-and-white mortality case”(658). Even the most educated doctors make simple mistakes that hold immense consequences but can only speak about them with fellow doctors during a Morbidity and Mortality Conference.
Medical error occurs more than most people realize and when a doctor is found negligent the patient has the right to sue for compensation of their losses. Debates and issues arise when malpractice lawsuits are claimed. If a patient is filing for a medical malpractice case, the l...
With the rise of adverse effects on patient care due to poor communication, it is important that the issue be exposed to the health care population so that awareness can bring productive means for change. Martin and Ciurzynski (2015) reports ineffective communication between health care providers is to blame for more than one hundred and fifty thousands deaths each year in the United States due to medical errors. The breakdown of communication between provider and patient produces misinterpretation of patient needs and inaccurate use of the nursing process. The confusion subsequently produces a trickle down effect into the communication between the multidisciplinary team leading to potential inappropriate treatments and medical errors. In addition to the gross amount of sentinel events each year, patient satisfaction is also impaired by ineffective communication between providers and patients. The breakdown of communication and the errors produced in response can occur between multidisciplinary providers or between providers and their
According to Poorolajal, medical errors occur when health care providers choose inappropriate methods of care or improperly execute an appropriate method of care (Poorolajal, et al. para 5 -10), which could potentially lead to loss of life and severe or permanent trauma to the victim. Valiani et al. argues, “Committing an error is part of the human nature” (540). Valiani et al. insist that no health care practitioner is immune to committing an error event if they demonstrate mastery of their skills (540). However, error in health care systems is dependent on many causes and factors. Management of such factors is essential to reducing the occurrence of errors in a health care system. Therefore, what strategies can medical practitioners implement to reduce medical errors? Medical practitioners can implement strategies such as communication, verification, and eliminating extended work shifts. These strategies are most effective because they help medical providers fulfill their full potential in doing their job in the most effective
Rising health care costs have caused a national crisis, and all agree we must embrace reform. President Obama has initiated his national health care plan in the hopes of decreasing some of the inflated costs. When attempting to resolve this issue, one must always address the root of the problem. A large portion of these inflationary costs stem from malpractice lawsuits, and so begins the debate for tort reform: legislation which would cut the costs of health care by reducing the risk of civil litigation and exposure to fraudulent claims (“What”). However, the real factor at hand and the real cause of the industry’s high costs does not come solely from the cost incurred from these lawsuits, but from over-expenditures on the part of doctors, who over-test and over-analyze so as to safeguard themselves from the threat of malpractice lawsuits. Thus, large public support exists for tort reform. While the proposed legislation enacted through tort reform could cut the costs of health care and positively transform the industry, it is ultimately unconstitutional and could not withstand judicial scrutiny.
As medicine becomes more commercialized, patient-physician relationships become less intimate and thus patients hold less sympathy for doctors who make mistakes. Having no emotional ties to their physician, patients are more likely to change doctors after they discover their current one has made a mistake. This is a problem for physicians as it is a loss for their business and ultimately their revenue. Because physicians want to keep a steady influx of patients and avoid malpractice they have equated mistakes to loss of business. “It’s almost impossible for a physician to talk to a patient honestly about mistakes because of the doctors fear they will lose patients” (Gawande 58) But, a 2006 study in the Journal of General Internal Medicine found full disclosure of error reduces likelihood that patients will change physician and improves satisfaction, increases trust, and results in a generally positive response from the patient. By fully explaining why the error occurred and how the patient should have been treated, the doctor takes responsibility for the error, which many patients respect and appreciate. This appreciation can go a long way in the patient-physician relationship and in most cases, help the patient forgive his
It’s very difficult to blame someone when mistakes occur in an environment in which we hope learning and improvement will take place. But eventually someone has to take blame for the mistake. Errors can occur anywhere but when it comes to the healthcare field there are more possibilities.It would include acute care, ambulatory care, outpatient clinics, pharmacies, and patient homes. Many people assume that medical errors involve only wrong medications administered or the wrong surgery performed (Dovey, Kuzel, Phillips, and Woolf, 2004). However, there are many other types of errors such as wrong diagnosis, equipment failure; sometimes patients are given the wrong blood (Dovey, Kuzel, Phillips, and Woolf, 2004). As much as the healthcare employees try to prevent medical errors, they still can happen. It is necessary to recognize the medical error in order to provide proper care to the patient, report the error and then take an action to prevent the error from happening again (Dovey, Kuzel, Phillips, and Woolf, 2004).
Any patient harmed by the provision of a healthcare service is informed of the fact and an appropriate remedy offered, regardless of whether a complaint has been made or question asked about it. This is how the term “candour” is defined by Robert Francis in his report (1). GMC defines the professional duty of candour as openness and honesty when things go wrong (2). This is applicable not only to patients but also to colleagues, employers and regulators. In a profession as stressful as medicine where doctors and other healthcare professionals are entrusted with the provision of care to people, it is vital for the care givers to be completely honest with their patients, especially when things wrong. It is not an easy task and doctors hesitate to do so due to a number of reasons such as the fact that doctors see themselves as solely benevolent and do not appreciate that they may be sources
Every day, nurses analyze facts and circumstances on a case-by-case basis, and then act on these analyses. Increasingly, we’re being held accountable for these nursing judgments—and the outcomes that ensue. Poor judgment can set the stage for a patient injury that leads to a malpractice claim.
With populations and costs increasing every year, the medical field has taken on more challenges than ever before. Through time, technology has blossomed, education has been improved and hospitals have transformed into team establishments. However, with all great advances come struggle. More people have gotten sick, more diseases have been discovered and more errors have been made. The Institute of Medicine (IOM) reports approximately 7,000 deaths occur from hospital medication errors and almost 3 billion dollars a year goes toward fixing problems that could have been prevented. Mistakes are an inevitable part of life, yet in health care error can lead to death.
In general, medical errors are expensive, with post-operative complications “accounting for 35 percent of costs for medical errors and 39 percent of costs for preventable medical errors” (Andel, et al., 2012, pg.). Data gathered by Andel et al. (2012) have yielded that 1.5 million medical injuries out of 6.3 million were preventable if “better polices and practices were followed” (pg. 4). Imagine how much money an HCO could save if healthcare providers were simply “more careful” when collecting history, diagnosing, administering medication, and treating patients. Andel et al. (2012) mentions that the result of such practices would quantify to more than 19 billion of opportunity savings (pg.
Reporting medical errors seems to be at a point where no one understands in actuality the extent of the truth being told. Thus creating an atmosphere of distrust between patient and doctor, which needs to be eliminated. Medical errors can be reported in several different ways. One way is by disclosure and another is by voluntary reporting.
It is shocking to know that every year 98000 patients die from medical errors that can be prevented(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.), 2000). Medical errors are not a new issue in our healthcare system; these have been around for a long time. Hospitals have been trying to improve quality care and patients safety by implementing different strategies to prevent and reduce medical errors for past thirty years. Medical errors are the third leading cause of death after heart disease and cancer in America (Allen, 2013). In addition medical errors are costing our healthcare system an estimated $735 billion to $980 billion (Andel, Davidow, Hollander, & Moreno, 2012).
The health care is extremely important to society because without health care it would not be possible for individuals to remain healthy. The health care administers care, treats, and diagnoses millions of individual’s everyday from newborn to fatal illness patients. The health care consists of hospitals, outpatient care, doctors, employees, and nurses. Within the health care there are always changes occurring because of advance technology and without advance technology the health care would not be as successful as it is today. Technology has played a big role in the health care and will continue in the coming years with new methods and procedures of diagnosis and treatment to help safe lives of the American people. However, with plenty of advance technology the health care still manages to make an excessive amount of medical errors. Health care organizations face many issues and these issues have a negative impact on the health care system. There are different ways medical errors can occur within the health care. Medical errors are mistakes that are made by health care providers with no intention of harming patients. These errors rang from communication error, surgical error, manufacture error, diagnostic error, and wrong medication error. There are hundreds of thousands of patients that die every year due to medical error. With medical errors on the rise it has caused the United States to be the third leading cause of death. (Allen.M, 2013) Throughout the United States there are many issues the he...